Individual provider Active NPI

Jessica Mae Rabe, LMSW

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1154957520
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801114657 Issued in MI
Practice address
3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone
(269) 425-3076
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801114657 MI Primary

Addresses

Primary practice location

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516

Mailing address

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (231) 769-6978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513003115 MI Practitioner - Clinical Social Worker 3971934605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brennerhelp LLCGroup PAC ID 9335526979, 5 clinicians

Practice addresses (Care Compare)

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (269) 216-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114657MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brennerhelp LLC Social Worker CurrentSince Jul 17, 2022 Accepting new patients
Life Launch Counseling, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

4415 Duke St
Ste 1W
Kalamazoo, MI 49008
Phone (269) 216-3337

3317 Greenleaf Blvd
Kalamazoo, MI 49008
Phone (269) 216-3337

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1154957520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "231-769-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-425-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABE",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.